MEDICARE: KANSAS COMMUNITY HOME HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1720593973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KANSAS COMMUNITY HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1854 MINNESOTA AVE STE 4
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4166
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1854 MINNESOTA AVE STE 4
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-4166
Country	:	US
Telephone Number	:	913-499-8374
Fax Number	:	913-499-8702

Authorized Official
Title or Position	:	BOARD OF DIRECTOR
Name	:	HEM GHATANEY
Credential	:
Telephone Number	:	520-247-7456

Provider Enumeration Date	:	12/11/2017
Last Update Date	:	01/21/2022

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